Knowledge, Attitudes and Concussion Information Sources Among First Nations in Ontario

Hunt, Cindy; Michalak, Alicja; Johnston, Elaine; Lefkimmiatis, Chrissy; Macumber, Leila; Jocko, Tony; Ouchterlony, Donna

doi:10.1017/cjn.2017.299

Cited by 16 publications

(19 citation statements)

References 42 publications

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“…Others studies suggest concussion education should extend beyond players to include parents and coaches to strengthen the focus on creating a culture of safe sport and where reporting concussion symptoms can be supported (Hunt et al, 2018). The team building approach aligns well with Indigenous culture of community engagement and community building (Smylie et al, 2008).…”

Section: Discussionmentioning

confidence: 98%

“…The pen-and-paper survey was modified from a study tool by Mrazik et al (2015), who studied minor hockey players that included boys and girls from 10 to 17 years of age living in the province of Alberta, Canada. The modifications to the survey tool have been reported elsewhere (Hunt et al, 2018). The survey was modified to reduce the number of questions to provide a brief tool that could be completed within a short period of time since the study setting was a busy arena during a youth hockey tournament.…”

Section: Methodsmentioning

confidence: 99%

“…The purpose of this study was to compare and contrast concussion knowledge, attitudes, reporting behaviour and concussion resources among First Nations male and female youth (aged 10-18 years) participating in a recreational hockey tournament. These study data were drawn from a larger project that has been reported in the literature (Hunt et al, 2018).…”

mentioning

confidence: 99%

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Exploring Sex-Based Differences in Concussion Knowledge, Attitudes and Resources in Young First Nations Hockey Players: A Cross-Sectional Survey from Ontario, Canada

et al. 2019

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Objective:Indigenous youth are vulnerable to concussion when playing hockey. A clear characterisation of sex differences among Indigenous youth could assist in tailoring future education programmes for prevention and management of concussion. The purpose of this study was to compare and contrast concussion knowledge, attitudes and resources in First Nations girls and boys playing recreational hockey.Method:The cross-sectional survey was conducted in partnership with a First Nations’ chief, other Indigenous community leaders and a tertiary care head injury clinic. In Canada, researchers engaging with Indigenous peoples are expected to adhere to principles of Ownership, Control, Access and Possessions. The study included Indigenous boys and girls between the ages of 10 and 18 years of age.Results:More girls attending the hockey tournament participated in the study as compared to boys (girls n = 46, boys n = 29). More girls reported they had never experienced a concussion (73.9%), as compared to boys (58.6%) self-reports. Less than half of all study participants were able to identify some signs and symptoms of concussion such as vomiting/nausea, memory problems, fatigue and blurred vision and recognition of several concussion symptoms varied by sex.Conclusions:We created a unique partnership between Indigenous leaders and tertiary care clinic staff. Among Indigenous youth reasons for not reporting concussion symptoms to the coach varied by sex (although not reaching statistical significance), suggesting concussion education warrants tailoring for girls and boys.

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Section: Discussionmentioning

confidence: 98%

Section: Methodsmentioning

confidence: 99%

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Exploring Sex-Based Differences in Concussion Knowledge, Attitudes and Resources in Young First Nations Hockey Players: A Cross-Sectional Survey from Ontario, Canada

et al. 2019

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“…Taken together, there is an urgent need for collaborative research to examine how the social determinants of health impact the lived experiences and outcomes of northern and Indigenous youth with concussion and how multi-disciplinary paediatric concussion programmes can tailor telemedicine programmes to deliver accessible, affordable and culturally safe concussion care to these unique patient populations. Such research will also play an important role in the development of much needed culturally specific education resources and injury prevention initiatives that can further decrease the burden of concussion and TBI among Canada's First Nation, Metis and Inuit youth [57,58].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a pilot paediatric concussion telemedicine programme for northern communities in Manitoba

Ellis

Boles

Derksen

et al. 2019

International Journal of Circumpolar Health

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Pediatric concussion patients living in northern communities in Canada can face unique challenges accessing primary and specialized healthcare. In this study we report the clinical characteristics, healthcare utilization, outcomes and estimated cost avoidance associated with a pilot pediatric concussion telemedicine program established between a multi-disciplinary pediatric concussion program in Winnipeg, Manitoba and a hospital in Thompson, Manitoba. From October 1st- July 1st, 2018, 20 patients were evaluated; mean age 13.1 years, 15 (75%) males and 14 (70%) self-identified as Indigenous. Injury mechanisms included hockey (50%), falls (35%) and assaults (15%). Median time from referral to initial consultation was 2.0 days. After screening by the neurosurgeon, 90% of patients underwent initial consultation via real-time videoconferencing with 80% managed exclusively through telemedicine. At the end of the study, 90% met the criteria for clinical recovery, one remained in treatment and one was discharged to a headache neurologist. Sixty-six telemedicine encounters were completed including 57 videoconferencing appointments and 9 telephone follow-ups representing an estimated cost avoidance of $40,972.94. This study suggests telemedicine may be a useful approach to assist pediatric concussion programs with delivering timely, safe and cost-effective care to patients living in medically underserviced remote and northern communities in Canada.

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“…[12][13][14][15] High school athletes have also recently been the focus of many concussion knowledge and symptom-reporting studies. [15][16][17][18][19][20] This work has highlighted that underreporting of concussion may be attributed partially to poor recognition of concussion-related symptoms, a desire not to be removed from play following injury, and negative attitudes toward reporting symptoms (e.g., not recognizing the seriousness of concussion symptoms, being embarrassed about reporting symptoms). 17,21 In contrast to the literature as it relates to high school samples, relatively little work has explored these topics among college student-athletes.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Collegiate Student-Athletes’ Concussion-Related Knowledge and Behaviors

Bernstein

Calamia

Mullenix

2019

Can. J. Neurol. Sci.

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ABSTRACT:Objective:This study aimed to explore student-athletes’ concussion-related knowledge and attitudes toward reporting symptoms, demographic predictors of knowledge and attitudes, and determine whether responses to the survey changed following an online educational intervention.Methods:A total of 108 Division I student-athletes enrolled at a large southern university completed a survey evaluating knowledge regarding concussion-related terminology, symptoms and recovery trajectories, as well as attitudes toward reporting symptoms following a possible concussion. Student-athletes completed the questionnaire both 24–48 h before and one week after reviewing the educational presentation.Results:At baseline, participants correctly identified 72% of concussion symptoms included in the questionnaire, as well as correctly identified 75% of items related to the typical recovery trajectory post-concussion. A total of 54% of baseline attitudes toward reporting symptoms matched clinical best practices. Multiple analysis of variance (MANOVA) revealed that male sex and non-Caucasian race were associated with worse baseline knowledge of concussion symptoms. Concussion knowledge was not associated with attitudes toward reporting symptoms. Paired samples t-tests indicated that knowledge of concussion-related terminology improved modestly following the educational presentation.Conclusions:Some subsets of collegiate student-athletes show relatively lower knowledge about symptoms of concussion than others. As a result, these groups may benefit from increased educational efforts to ensure they recognize when a concussion may have occurred. Additionally, as knowledge and attitudes were unrelated and the intervention had a modest effect on knowledge but not attitudes, future work should explore interventions that are designed to directly alter attitudes.

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Knowledge, Attitudes and Concussion Information Sources Among First Nations in Ontario

Abstract: Future initiatives are urgently needed to improve education and prevention of concussion in First Nations youth hockey. Collaborating and engaging with communities can help to ensure an Indigenous lens for culturally safe interventions.

Cited by 16 publications

References 42 publications

Exploring Sex-Based Differences in Concussion Knowledge, Attitudes and Resources in Young First Nations Hockey Players: A Cross-Sectional Survey from Ontario, Canada

Exploring Sex-Based Differences in Concussion Knowledge, Attitudes and Resources in Young First Nations Hockey Players: A Cross-Sectional Survey from Ontario, Canada

Evaluation of a pilot paediatric concussion telemedicine programme for northern communities in Manitoba

Predictors of Collegiate Student-Athletes’ Concussion-Related Knowledge and Behaviors

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